Teacher Programs Interest Form

Thank you for your interest in Relay. Please complete the information below.

First Name*

Preferred First*

Last Name*

Other Pronouns (Optional)

Birthdate*

We ask for your DOB only to match your interest form with a future admissions application; we do not use it for evaluative purposes.

Email Address*

Mobile Phone Number (10 digits)*

In what state are you planning to teach?*

Relay Location*

Are you previously certified to teach in this state? If yes, in what subject area?*

Subject*

Are you seeking certification in this state? If yes, please share which subject you'd like to teach*

Subject*

Have you secured an instructional role for the upcoming academic year?*

Anticipated Start Date*